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neuro randm
CM II - Spring 2012
| Question | Answer |
|---|---|
| Divisions of PNS? | PNS splits into Autonomic and Somatic; Autonomic splits into Parasym and Sympathetic |
| How many cranial nerves and how many spinal nerves? | CN = 12 SN = 31 |
| Which type of neurons exit and enter the anterior and posterior roots? | Anterior = Motor Post = Sensory |
| What makes up the grey matter? | Neuronal Cell bodies and synapses |
| What makes up the white matter? | Ascending pathways (afferent) relay SENSORY info to brain; Descending pathways (efferent) relay MOTOR info from brain |
| CN 1 and fxn? | Olfactory; sensory - smell |
| CN 2 and fxn? | Optic; sensory - Vision |
| CN3 and fxn? | Oculomotor; motor - Eye movement, light reflex |
| CN 4 and fxn? | Trochlear; motor - Eye movement |
| CN 5 and fxn? | Trigeminal; Both - Mastication, sensory face/scalp |
| CN 6 and fxn? | Abducens; motor - Eye movement |
| CN 7 and fxn? | Facial; Both - Facial expression, taste |
| CN 8 and fxn? | Vestibulocochlear/auditory; sensory - Hearing, balance |
| CN 9 and fxn? | Glossopharyngeal; both - taste, swallowing, speech |
| CN 10 and fxn? | Vagus; both - taste, swallow, lift palate, speech, viscera |
| CN 11 and fxn? | Spinal accessory; motor - turn head, lift shoulder |
| CN 12 and fxn? | hypoglossal; motor - move tongue for speech/eating |
| Sympathetic nerves exit SC where? | T1 to L2 |
| Where do the CNs originate? | Brainstem |
| What are some abns assoc w/ brainstem? | Vertigo, altered consciousness, dbl vision |
| What are some fxna assoc w/ cerebellum? | Movement, posture, balance |
| twisting in an involuntary snake-like form? | Athetosis |
| Fxn of limbic system? | Mediates emotions, learning, memory |
| Amygdala fxn? | Fear and anxiety |
| Fxn of hippocampus? | Formation of long-term memories |
| Wernicke's area? | Language COMPREHENSION |
| Broca's area? | Speech PRODUCTION and ARTICULATION |
| Alexia | Inability to read |
| Broca's aphasia | Knows words to say, but says it slowly, deleting lots of words |
| Wernicke's aphasia | Hears, but doesn't understand |
| Where is CSF made? | Choroid plexus in lateral ventricles |
| MC neuropathic dz causes in US? | DM, alcoholism |
| How to assess strength/wkness in PE? | scale 0-5: test indiv muscles/groups |
| MC meningitis pathogen in adults/children? | N. meningitidis, S. pneumo |
| MC meningitis pathogen in kids 10-19/dorm age? | N. meningitidis |
| Major bacterial meningitis RFs? | Contact w/ someone w/ it, RTI, travel to endemic area |
| Meningeal signs? | Nuchal rigidity, Brudzinski's sign, Kernig's sign |
| What is Brudzinski's sign? | Passively flex neck and person flexes hips bc inflamm |
| What is Kernig's sign? | Hip and knee flexed at 90 degrees..try to extend knee and see if elicit resistsance/ back pain |
| MC pathogen to cause difficulties in meningitis? | S pneumo |
| CN palsy of which nerves can occur as a complication of meningitis? | 3,4,6,7 |
| Predisposing fxs for bact mening? | DM, alc, URI, UTI, HIV |
| Classic meningitis triad? | Fever (95%), nuchal rigidity (85%), change in mental status |
| Rash may be seen w/ which mening-causing pahtogen? | Neiserria meningitidis |
| WBC diff will show a predom of what kind of WBCs in bacterial vs aseptic/enceph? | Neutrophils vs lymphocytes |
| What defines chronic meningitis? | >/= 4 wks (can be infectious, non-infect) |
| Define encephalitis | Inflamm of brain parenchyma |
| MC causes of enceph? | West NV, HSV |
| Which herpes virus causes mening and which causes enceph? | 1=enceph 2=mening |
| Enceph sxs lack? | Photophobia, nuchal rigidity |
| What can a LP show in someone with HSV enceph? | RBCs in csf w/o traumatic tap |